Medicaid Provider and Managed Care Expedited Adjudicatory Proceeding Information

Under the Medicaid Provider and Managed Care Act, a Medicaid provider or subcontractor may request an expedited adjudicatory proceeding by serving the Inspector General/Program Integrity Unit and the Administrative Hearings Office a written request for such proceeding no later than thirty (30) calendar days following the service of a final determination of overpayment by the Health Care Authority on the Medicaid provider or subcontractor.

This page provides FAQ about the expedited adjudicatory proceeding, links to the statutes and regulations governing the proceeding, and a link to the expedited adjudicatory proceeding request form.

FAQ

Statutes and Rules

Medicaid Provider and Managed Care Act, NMSA 1978, Section 27-11-1
Administrative Procedures Act, NMSA 1978, Section 12-8-1, Section 12-8-2, 12-8-10 through 12-8-13, 12-8-15, and 12-8-16
Administrative Hearings Office Act, NMSA 1978, Section 7-1B-10

Pertinent Regulations for Expedited Adjudicatory Proceedings

Billing for Medicaid Services NMAC 8.302.2.1
Administrative Hearings Office General Hearing Regulations NMAC 22.600.6.1
Administrative Hearings Officer Code of Conduct NMAC 22.600.6.2

Expedited Adjudicatory Proceeding Hearing Request Form

Please use the Expedited Adjudicatory Proceeding Hearing Request Form to request an expedited adjudicatory proceeding before the Administrative Hearings Office. It is a fillable PDF. Upon completion, the form shall be filed electronically at tax.pleadings@aho.nm.gov or sent certified mail to the New Mexico Administrative Hearings Office PO Box 6400, Santa Fe, NM, 87502 with a copy sent certified mail to the Inspector General/Program Integrity Unit (Attention: Lisa Medina-Lujan) PO Box 2348, Santa Fe, NM 87504-2348.